SOUTHWEST ORAL & MAXILLOFACIAL SURGERY


Address: 5900 Cubero Dr Ne Ste A, Albuquerque, NM 87109-3879
Phone: 5057973530

SOUTHWEST ORAL & MAXILLOFACIAL SURGERY (NPI# 1457527368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457527368
Entity Type Organization
Organization Name SOUTHWEST ORAL & MAXILLOFACIAL SURGERY
Practice Address 5900 Cubero Dr Ne Ste A
Albuquerque
NM 87109-3879
Practice Telephone 5057973530
Practice Fax Number 5057972155
Mailing Telephone 5057973530
Mailing Fax Number 5057972155
Enumeration Date 2008-05-01
Last Update Date 2011-12-06
Authorized Official Name DR. JERRY L JONES (OWNER)
Authorized Official Telephone 5057973530
Authorized Official Credential M.D.,D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DD1094 NM Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM E1446 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609006345 Southwest Oral & Maxillofacial Surgery Dentist 916 Sw 38th St Ste A, Lawton, OK 73505-7005 2009-07-15

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Southwest Oral & Maxillofacial Surgery 916 Sw 38th, Lawton, OK 73505

Office Location

Street Address 5900 CUBERO DR NE STE A
City ALBUQUERQUE
State NM
Zip Code 87109-3879

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629615851 Southwest Oral and Maxillofacial Surgeons LLC Clinic/Center 5900 Cubero Dr Ne Ste A, Albuquerque, NM 87109-3879 2019-12-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386286367 Mikaela Epaloose Behavior Technician 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 2019-10-11
1245872464 Marsha Director Behavior Technician 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 2019-10-09
1720637499 Nancy Gail Vice Technician 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 2019-09-05
1598314411 Chau Vu Behavior Technician Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 2019-09-04
1932753498 Noelle Nielsen Behavior Technician 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 2019-08-01
1952967952 Caridad Merkel Obstetrics & Gynecology 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 2019-05-15
1043795149 Margaret Mcconville Physical Therapist Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 2018-09-25
1922586262 Clark Endodontics LLC Dentist 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 2018-07-30
1447736202 Melissa Christine Scott Registered Nurse Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 2018-07-16
1508351990 Gianna Nicole Casarez-quintana Dentist 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 2018-06-27
Find all providers in zip 87109

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629460951 Mark Conover Dentist 7050 Barstow St Ne, Albuquerque, NM 87111-1056 2015-02-24
1265671770 Sandia Oral Surgery and Dental Implant Center Dentist 7009 Montgomery Blvd. Ne, Albuquerque, NM 87109 2009-02-08
1598929242 West Mesa Oral and Maxillofacial Surgery PC Dentist 4801 Mcmahon Blvd Nw Ste 230, Albuquerque, NM 87114-5478 2008-07-11
1013179530 Joyce Ann Jeffries Dentist 9674 Eagle Ranch Rd Nw, Suite 1, Albuquerque, NM 87114-1580 2008-06-26
1447324280 David Eric Tuggle Dentist 7009 Montgomery Blvd Ne, Albuquerque, NM 87109 2006-11-20
1275613788 Timothy L Gutierrez Sr. Dentist 1513 Carlisle Blvd Ne, Albuquerque, NM 87110 2006-10-17
1104930288 Jeffery Bryan Wheaton Dentist 1628 Alameda Blvd Nw, Albuquerque, NM 87114 2006-08-18
1063470904 James D Crine II Dentist 4550 Eubank Ne Ste #103, Albuquerque, NM 87111 2006-05-02
1750359618 Lionel Michael Candelaria Dentist 6800 Montgomery Blvd Ne Ste A, Albuquerque, NM 87109-1425 2006-03-08
1346217775 John Compton Mitchell Dentist 6800 Montgomery Blvd Ne, Suite A, Albuquerque, NM 87109-1405 2006-03-03
Find all providers in ALBUQUERQUE

Competitor

Search similar providers

City ALBUQUERQUE
Zip Code 87109

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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